Individual
MICHELLE FRANCES JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 596-4411
(402) 596-4510
Mailing address
988102 NEBRASKA MEDICAL CENTER, OMAHA, NE 68198-8102
(402) 596-4411
(402) 596-4510
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25796
NE
207R00000X
Internal Medicine Physician
45007
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075083200
—
MN
Enumeration date
06/07/2006
Last updated
05/06/2013
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